Tharp, Michael John
Tharp, Michael John is an sole proprietor health care provider with primary practice located at 101 West Third Street , West Liberty IA 52776-1405. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tharp, Michael John can be contacted via phone (319) 627-2328.Contact Information
Primary practice address
101 West Third Street
West Liberty IA 52776-1405
Phone: (319) 627-2328
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5976 | Iowa |
Profile Details
| NPI number | 1255426698 |
|---|---|
| LBN Legal business name | Tharp, Michael John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255426698 | NPPES |
| Iowa | MEDICAID | 0012005 |
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